Definition

Tonsillitis is infection of the parenchyma of the palatine tonsils. Recurrent severe tonsillitis results in significant impact on quality of life, including time lost from school or work.

Incidence/Prevalence

Acute tonsillitis is more common in childhood than adulthood.

Aetiology/Risk Factors

Common bacterial pathogens include beta haemolytic and other streptococci. Bacteria are cultured successfully only from a minority of people with tonsillitis. The role of viruses is uncertain – however it is generally accepted that most ‘sore throats’ are of viral origin.

Prognosis

Generally positive; both patients who are given appropriate antibiotic therapy, and patients who undergo tonsillectomy are shown to have a reduced number of episodes over time.

Clinical Aims

Treatment aims to reduce the frequency and severity of recurrent throat infections; to improve general well being, whilst minimising risks and side effects of either medication or surgery.

Clinical Outcomes

Number and severity of episodes of tonsillitis or sore throat; requirement for antibiotics and analgesics; time off work or school; school performance, and general well being; morbidity and mortality of surgery; and adverse effects of drugs.

Reference;  Am Fam Physician. 2002 Nov 1;66(9):1735-6. Recurrent tonsillitis. McKerrow WS1. Raigmore Hospital, Inverness, United Kingdom.